Tuberculous pericarditis surgery: Difference between revisions

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==Overview==
==Overview==
<br />
The mainstay of treatment for tuberculous pericarditis is medical therapy. [[Pericardiectomy]] is usually reserved for [[patients]] resistance [[constrictive pericarditis]].


==Indications==
==Indications==
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==Contraindications==
==Contraindications==
Contraindications for pericardiectomy include:<ref name="SeferovićRistić2012">{{cite journal|last1=Seferović|first1=Petar M.|last2=Ristić|first2=Arsen D.|last3=Maksimović|first3=Ružica|last4=Simeunović|first4=Dejan S.|last5=Milinković|first5=Ivan|last6=Seferović Mitrović|first6=Jelena P.|last7=Kanjuh|first7=Vladimir|last8=Pankuweit|first8=Sabine|last9=Maisch|first9=Bernhard|title=Pericardial syndromes: an update after the ESC guidelines 2004|journal=Heart Failure Reviews|volume=18|issue=3|year=2012|pages=255–266|issn=1382-4147|doi=10.1007/s10741-012-9335-x}}</ref>
* Extensive myocardial fibrosis
* Advanced disease
* Mild constrictive pericarditis with no hemodynamic change


==References==
==References==

Latest revision as of 16:16, 19 December 2019

Tuberculous pericarditis Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

The mainstay of treatment for tuberculous pericarditis is medical therapy. Pericardiectomy is usually reserved for patients resistance constrictive pericarditis.

Indications

  • The mainstay of treatment for tuberculous pericarditis is medical therapy. Surgery is usually reserved for patients resistance constrictive pericarditis.

Surgery

  • Pericardiectomy
    • This procedure is recommended for the patients with persistent hemodynamic instability after 6 weeks of medical therapy.[1][2]

Contraindications

Contraindications for pericardiectomy include:[3]

  • Extensive myocardial fibrosis
  • Advanced disease
  • Mild constrictive pericarditis with no hemodynamic change

References

  1. Long R, Younes M, Patton N, Hershfield E (May 1989). "Tuberculous pericarditis: long-term outcome in patients who received medical therapy alone". Am. Heart J. 117 (5): 1133–9. doi:10.1016/0002-8703(89)90873-9. PMID 2711975.
  2. Sagristà-Sauleda J, Permanyer-Miralda G, Soler-Soler J (April 1988). "Tuberculous pericarditis: ten year experience with a prospective protocol for diagnosis and treatment". J. Am. Coll. Cardiol. 11 (4): 724–8. doi:10.1016/0735-1097(88)90203-3. PMID 3351140.
  3. Seferović, Petar M.; Ristić, Arsen D.; Maksimović, Ružica; Simeunović, Dejan S.; Milinković, Ivan; Seferović Mitrović, Jelena P.; Kanjuh, Vladimir; Pankuweit, Sabine; Maisch, Bernhard (2012). "Pericardial syndromes: an update after the ESC guidelines 2004". Heart Failure Reviews. 18 (3): 255–266. doi:10.1007/s10741-012-9335-x. ISSN 1382-4147.

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